It is not paradoxical: Risk reduction from transradial occurs across all weight classes proportional to baseline risk

Key Points Reductions in bleeding risk through the use of transradial versus transfemoral access can be seen across the spectrum of patient body mass indexes using a large claims based database. At both the heavy and light extremes of body mass, the radial‐associated reductions in bleeding are most evident with a mortality benefit and a reduction in retroperitoneal bleeding evident in the morbidly obese. Expansion of radial skills to allow operators to confidently provide these procedures to all appropriate patients regardless of weight would reduce bleeding risks and mortality across the population.